*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.12 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 109,454 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance in DRG | 11.51 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 6.31 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 14.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,279,824,622 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,853 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $11,693 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $6,003,697,229 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $54,851 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 12.99 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 39.28 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 9.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 20,008 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance in DRG | 2.1 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 6.94 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 19.62 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 14.98 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $237,722,111 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $11,881 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,083,034,475 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $54,130 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 8.86 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 40.61 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 8.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 17,014 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance in DRG | 1.79 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 4.38 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 18.73 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 9.21 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $215,239,661 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $2,887 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $12,651 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,110,337,617 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $65,260 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 0.44 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 70.72 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 5.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 12,997 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance in DRG | 1.37 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 3.11 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 14.43 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 10.29 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $62,702,588 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $4,824 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $380,324,785 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | $29,263 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 0.28 | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 31.58 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD F0280 - Dementia in other diseases classified elsewhere without behavioral disturbance | 34.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 4,442 |
| ST. JOSEPHS HOSPITAL | 3001 W DR MLK JR BLVD | TAMPA | FL | 33607 | 2,179 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,983 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 375 |
| Dr. MOUSTAFA E ALAMY | 16660 PARAMOUNT BLVD | PARAMOUNT | CA | 90723 | 183 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 158 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BHAVESH R GANDHI | 16151 WEBER ROAD | CREST HILL | IL | 60403 | 434 |
| Dr. MANISH SHROFF | 1501 W 11TH PL | BIG SPRING | TX | 79720 | 419 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 380 |